ATI RN
ATI Fundamentals Proctored Exam 2024
1. When discussing hair loss with Mrs. Lim, who begins to cry, the best response would be:
- A. Don’t worry. It’s only temporary
- B. Why are you crying? I didn’t get to the bad news yet
- C. Your hair is really pretty
- D. I know this will be difficult for you, but your hair will grow back after the completion of chemotherapy
Correct answer: D
Rationale: When a patient is emotionally affected, it is essential to acknowledge their feelings while providing reassurance and information. Option D demonstrates empathy by acknowledging the difficulty Mrs. Lim is facing and offers hope by reassuring her that her hair will grow back after chemotherapy, which can provide comfort and support during a challenging time.
2. When a family of an accident victim, who has been declared brain-dead, appears open to organ donation, what should the nurse do?
- A. Discourage them from deciding until their grief has eased
- B. Listen to their concerns and answer their questions truthfully
- C. Urge them to immediately sign the consent form
- D. Inform them that the body will not be available for a wake or funeral
Correct answer: B
Rationale: In situations involving potential organ donation, the nurse's role is to provide support, listen to the family's concerns, and answer their questions truthfully. By doing so, the nurse can help facilitate an informed and respectful decision-making process for the grieving family.
3. Parenteral penicillin can be administered as an:
- A. IM injection or an IV solution
- B. IV or an intradermal injection
- C. Intradermal or subcutaneous injection
- D. IM or a subcutaneous injection
Correct answer: A
Rationale: Penicillin can be administered intramuscularly or intravenously.
4. Which of the following patients is at greater risk for contracting an infection?
- A. A patient with leukopenia
- B. A patient receiving broad-spectrum antibiotics
- C. A postoperative patient who has undergone orthopedic surgery
- D. A newly diagnosed diabetic patient
Correct answer: A
Rationale: Leukopenia, characterized by low white blood cell count, significantly reduces the body's ability to fight infections. Patients with leukopenia are at a higher risk of contracting infections due to compromised immune defenses.
5. The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:
- A. Tachypnea
- B. Eupnea
- C. Orthopnea
- D. Hyperventilation
Correct answer: C
Rationale: Orthopnea is a condition where a person experiences difficulty breathing when lying flat but finds relief when sitting up or standing. Elevating the head of the bed to the high Fowler position helps alleviate this symptom. Tachypnea refers to rapid breathing, eupnea is normal breathing, and hyperventilation is breathing excessively fast or deep.
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